ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Correct Answer: D
Rationale: The correct answer is D: Implement seizure precautions. This is important because individuals with alcohol use disorder are at risk for alcohol withdrawal seizures, which can occur when alcohol intake is abruptly stopped. Implementing seizure precautions involves closely monitoring the client for signs of seizure activity, ensuring a safe environment to prevent injury during a seizure, and having appropriate medications and equipment readily available if a seizure occurs. Administering methadone hydrochloride (
A) is not indicated for alcohol use disorder. Acidifying the client's urine (
B) and monitoring for orthostatic hypotension (
C) are not directly related to managing alcohol withdrawal seizures.
Question 2 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct findings for a client with post-traumatic stress disorder (PTS
D) are A, C, and E. A is correct because clients with PTSD often experience difficulty with sleep due to nightmares or hypervigilance. C is correct as they may have negative beliefs about themselves stemming from the trauma. E is accurate because difficulty concentrating is a common symptom of PTSD. B is incorrect as excessive talking is not a typical symptom. D is incorrect as individuals with PTSD often blame themselves rather than others.
Question 3 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can’t sleep soundly here because it’s too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep conversations and activities to a minimum during the nighttime. This is the best action as it addresses the client's concern directly by minimizing noise disturbances during the night, promoting a more conducive environment for sleep. Recommending the client to sleep during the day (
A) may disrupt their natural sleep-wake cycle. Turning on the TV (
B) may not address the underlying issue of noise. Telling the client they will get used to the noise (
D) dismisses their current discomfort.
Question 4 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: The correct answer is A: Generalizing. This client's statement of "my partner is always criticizing me" demonstrates generalizing by using the word "always," which implies a consistent negative behavior. This type of language can lead to miscommunication and can distort the actual situation. The other choices are incorrect: B: Manipulating implies controlling or influencing others, C: Distracting involves diverting attention away from the main issue, and D: Placating refers to appeasing or pacifying someone. In this scenario, the client's statement does not align with manipulation, distraction, or placation, making generalizing the most appropriate choice.
Question 5 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Initiates social interactions with caregivers. This outcome is appropriate for an adolescent with autism spectrum disorder as it reflects progress in social skills development. By initiating social interactions with caregivers, the adolescent demonstrates improved communication and socialization abilities. This outcome is important for building relationships and fostering independence. Other choices are incorrect as they do not directly address the specific needs of individuals with autism spectrum disorder.
Choice A is not typically relevant as individuals with autism may not experience delusions.
Choice C may be challenging for individuals with autism due to difficulties in understanding social cues.
Choice D is not ideal as it suggests susceptibility to peer influence, which may not be beneficial for someone with autism.